MEDICARE: GOLD STAR HOME HEALTH, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1932689577
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLD STAR HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	421 ARDEN AVE STE B
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-4008
Country	:	US
Telephone Number	:	818-474-1102
Fax Number	:	818-671-0387

Provider Business Practice Location Address
First Line	:	421 ARDEN AVE STE B
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-4008
Country	:	US
Telephone Number	:	818-474-1102
Fax Number	:	818-671-0387

Authorized Official
Title or Position	:	CEO
Name	:	YEKATERINA ARSHARUNI
Credential	:
Telephone Number	:	818-474-1102

Provider Enumeration Date	:	08/14/2018
Last Update Date	:	12/07/2023

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